Provider Demographics
NPI:1518229798
Name:MUELLER, KRISTIN L (LMHC, RPTS)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:L
Last Name:MUELLER
Suffix:
Gender:F
Credentials:LMHC, RPTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4752 41ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4260
Mailing Address - Country:US
Mailing Address - Phone:206-679-5236
Mailing Address - Fax:206-299-9401
Practice Address - Street 1:4752 41ST AVE SW STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4261
Practice Address - Country:US
Practice Address - Phone:206-679-5236
Practice Address - Fax:206-299-9401
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60245807101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health